NPI | 1669502969 |
---|---|
Former Name | JANIS D. LUECK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 10311) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119-002939) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2023-01-24 |